Individual
SUKESHINI P KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2033 E COLUNGA ST, COLTON, CA 92324-7510
(909) 872-1113
(909) 872-1113
Mailing address
2033 E COLUNGA ST, COLTON, CA 92324-7510
(909) 872-1113
(909) 872-1113
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
482520
CA
163WC0400X
Case Management Registered Nurse
482520
CA
163WC3500X
Cardiac Rehabilitation Registered Nurse
482520
CA
163WE0003X
Emergency Registered Nurse
482520
CA
163WM0102X
Maternal Newborn Registered Nurse
Primary
482520
CA
163WN0002X
Neonatal Intensive Care Registered Nurse
482520
CA
163WU0100X
Urology Registered Nurse
482520
CA
163WW0000X
Wound Care Registered Nurse
482520
CA
163WX1500X
Ostomy Care Registered Nurse
482520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EPS016950
—
CA
05
—
RVN005060
—
CA
Enumeration date
07/05/2007
Last updated
09/11/2025
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